| LCA CASE NUMBER | I-200-21113-254360 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-23 |
| DECISION DATE | 2021-04-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PVR Rehab Services, Inc. |
| EMPLOYER ADDRESS1 | 551 Estudillo Ave |
| EMPLOYER CITY | San Leandro |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94577 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15133523402 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Poddatoori |
| EMPLOYER POC FIRST NAME | Pratap |
| EMPLOYER POC JOB TITLE | President/CEO |
| EMPLOYER POC ADDRESS 1 | 551 Estudillo Ave |
| EMPLOYER POC CITY | San Leandro |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94577 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15103523402 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Dawson |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Spencer |
| AGENT ATTORNEY ADDRESS1 | 302 West Third Street |
| AGENT ATTORNEY ADDRESS2 | Suite 710 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133818472 |
| AGENT ATTORNEY PHONE EXT | 93 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | MusilloUnkenholt, LLC |
|
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 551 Estudillo Ave |
| LCA CASE WORKLOC1 CITY | San Leandro |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94577 |
| LCA CASE WAGE RATE FROM | 39.72 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 39.72 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Gomez |
| PREPARER FIRST NAME | Ana |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | MusilloUnkenholt, LLC |
| PREPARER EMAIL | [email protected] |
